Extra Curricular - Violin with Dominique Guerbois
Please indicate which programs your child wishes to participate by completing this Application Form.  
Spaces will be allocated on a first in, first serve basis.
Enrolments are applicable for Semester 1, 2022 (Terms 1 & 2).
Lessons begin Week 3 of Term 1.
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Email *
Details *
Student Name in Full e.g. Sarah Brown
Year group in 2021 *
Parent Name *
Parent Contact Number *
Email address *
Pick up contact details *
Name and phone number
Individual and small group lessons
Please note that all students must be collected from their Extra Curricular activity on time.  Please think about the pressure of workload as you choose your instrument.
String - Individual lessons
Type of Instrument
String - Group lessons
Type of Instrument
Conditions
By submitting this form, I agree to:
1. pay for the lessons promptly upon receipt of invoice;
2. ensure the full commitment of my child for the duration of each Semester (Terms 1 & 2 and Terms 3 & 4); and
3. the general Terms and Conditions set out on the Extra Curricular page on the school website.
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